hey it's Dr Amanda with straight smile Solutions streetsmouthsolutions.com and a great question
came in today about phase one treatment I just did another video on phase one treatment but why you
can't only use Invisalign first for your phase one treatment menu of services and um trust me
I love Invisalign first and as I always tell you guys I've never worked for a line technology or
Invisalign never have never will never profited never taken a dime from them so I have nothing
to benefit to talk about them except for the fact that I think it's a useful tool and I do think it
is the best phase one aligner product out there but you can't do All Phase One cases with that
product why well I mean I know they make it seem like you can but you can and every orthodontist
will tell you that so what do they not have now that doesn't mean that they're not going to have
it I take kind of a hobby out of um I think patent law is fascinating and if I ever had to
if I somehow like had a zillion dollars right now I didn't have to do this what would I and
I could just go learn I would go to law school and become a patent attorney because I think
it's fascinating fascinating fascinating I love engineering um I think law is cool especially in
the Sciences anyways um I love to read patent law um and patent proposals I know I'm a dork
especially ones having to do with Orthodontics and I would love to get into the dental side of the
industry out there so if anybody who wants help I'd love to intern anyways um I have read a lot
of aligned Technologies patent applications and I so I kind of always have an idea to know what's in
their pipeline before it actually shows up so I'm very happy to see that there is some stuff that I
mean the grant this is my interpretation of what they're trying to do so it might be wrong right
um because you know it's all written in legalese but um I do see something in the pipeline about
expanding arches and remember there's a big difference and you guys get confused are the
traditional Arch expansion that's built into an aligner is just tipping it's not
but it can be bodily movement too but it's not skeletal movement remember and a palette is two
shelves that fuse together as the child gets older right but when it's still a child you can
crank that and you can bop it open and you can actually get the airway benefits and the nasal
breathing benefits that you get because the bones are still soft and you're able to interlock those
sutures and then it's like breaking an arm you're gonna distraction osteogenesis you're going to go
ahead and splint it you're going to hold it for three to six months while the bone fills in and
boom bang you didn't have to tip your teeth in order to widen the arch and you got the
airway benefits that's why we do skeletal palatal expansion be it fixed or removable in a kiddo now
there are some appliances that do it in adults a lot of them are tipping there's some that are
surgical I mean traditionally we've always cut the palette into two couple different pieces and then
reposition it and splinted it um you know patient goes under has a jaw surgery there is some stuff
now out there called marpies and there's a lot of you guys getting into this and it's so dangerous
please please please don't get into it unless you are a surgeon and an orthodontist and all kind of
other stuff I don't even get into that I'm not into the whole Blood part of Orthodontics but
I mean it's a legit thing that's also legitimately dangerous if it's not done right and there even if
it is done right patients can die so and they have so you know you're cracking a jaw an upper jaw is
connected to the nose the nose is the bottom of the brain you know cracking bones in the face is
is not for the faint of heart in an adult because it's fused okay in a kid different story okay not
a big deal I've done thousands not a problem never ever ever had an issue but you have to pick your
patients wisely make sure they're not skeleton make sure there's a lot of stuff you have to go
into anyways okay so no a clear liner cannot do skeletal expansion you can do you can do tipping
um maybe a tiny bit of bodily expansion but a lot of kiddos need skeletal expansions so
no you can't do that with Invisalign or any other aligner system sorry
um the other thing you can't do is habit correction habits are there
so obviously if you haven't dug really into a lot of omt and Airway stuff that's out there and
there's a lot of habits that are out there there's there's habits that are intraoral there's habits
that are external we've got I mean obviously you guys see kids with passies in their mouth and
fingers in their mouth and black using their mouth and stuffed animals in their mouth and
pens and pencils anything that's a foreign body that's not supposed to go in the mouth
um that's a habit but there's also intraoral habits there's habits that happen when you're
sleeping that they don't even know about you know like mouth breathing there's habits that happen
during the day like tongue thrusting just the tongue maybe it's maybe it's too tethered down
to the floor of the mouth and when you have these habits faces grow wrong bones grow wrong you know
speech isn't done right they're not able to eat and pronounce words properly so that's why you
have to catch these habits find out exactly what they are that's why you must if you're going to
scale ortho in your practice you must either have an omt in your practice or collaborate with an omt
or you're not going to be able to see a lot of these cases if you're going to try to see cases
that have habits and kids are adults and you're not working with an omt you can't just throw
tongue cribs in them or you can't just tell them the Lifesaver trick you can't just stick tongue
Tamers on this this is just one component of a habit it's very multi-layered so no Invisalign
does not correct habits okay it does not retrain the tongue it does not teach a child not to mouth
breed or an adult not to mouth breathe it's not going to correct and open bite properly
um for the most part it's always going to relapse so you really really don't
want to be taking these open bite cases and adults are kids unless you have fixed the
etiology Behind The Habit so those are the two main things I would say that I see things in
their pipeline that they're I don't know exactly what they're doing I'm assuming they're going to
put some type of screw in an appliance or make it you know I mean it's going to be a game changer I
mean right now it's not a problem because I can pair Invisalign with other appliances I can't
just do it all with Invisalign so I'm going to start out with some habit correction Appliance
maybe some ont therapy you know it's an additional cost of course it's not included in the Invisalign
lab fee maybe I'm going to do a pilot expander or a Schwartz first there's a lot of things
that I can do initially before the Invisalign to prep the patient for six to 12 months so
that then we can go ahead and do the Invisalign first or do the Invisalign comprehensive and we
can get a perfect outcome but it's not a one size fit all fits-all approach and y'all are
fooled if you think you can do everything and I always cracked up you guys are sending me these
cases and I'm like no you can't do this you got to either work with omt for a year first
um we got to maybe get a tongue release and do omt you know I'm I'm not an omt so I mean I've gone
through omt therapy as an adult should have done it as a kid if it existed um would have changed
a lot of things in my life but um it was one of the best things I did last year and I'm so blessed
that I went through the process I had a tongue surgery I wish I had done that as a kid as well
um years and years of speech therapy struggling you know
um you know it definitely helped my sleep I mean like a million times just blew me away
um cervical Cairo all that stuff anyways all right hopefully that was helpful thank you so much